Organization
QUEEN OF PEACE HEALTHCARE LLC
Active
Other names
Queen of Peace Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
QUEENTA NANA (ADMINISTRATOR)
(734) 353-5693
Entity
Organization
Contact information
Practice address
1906 WASHOE ST, FORNEY, TX 75126-3965
(734) 353-5693
Mailing address
1906 WASHOE ST, FORNEY, TX 75126-3965
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/26/2025
Last updated
10/27/2025
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